Provider Demographics
NPI:1154350882
Name:BENDER, LEON IRWIN (MD)
Entity type:Individual
Prefix:DR
First Name:LEON
Middle Name:IRWIN
Last Name:BENDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8635 W 3RD ST
Mailing Address - Street 2:765W
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-6101
Mailing Address - Country:US
Mailing Address - Phone:310-657-7966
Mailing Address - Fax:310-289-5198
Practice Address - Street 1:8635 W 3RD ST
Practice Address - Street 2:765W
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-6101
Practice Address - Country:US
Practice Address - Phone:310-657-7966
Practice Address - Fax:310-289-5198
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG15668208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology